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In advanced pelvic cancer it may be necessary to perform a total pelvic exenteration. In such cases urinary tract reconstruction is usually achieved with the creation of an ileal conduit with a urinary stoma on the right side of the patient's abdomen and an end colostomy separately on the left. The potential morbidity from a second stoma may be avoided by the use of a double-barrelled wet colostomy (DBWC), as a single stoma. Another advantage is the possibility of using a vertical rectus abdominis muscle flap for perineal reconstruction.All patients undergoing formation of a DBWC were included.A DBWC was formed in 10 patients. One patient underwent formation of a double-barrelled wet ileostomy.In this technical note we present our early experience in 11 cases and a video of DBWC formation in a male patient.

Original publication

DOI

10.1111/codi.13512

Type

Journal article

Journal

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

Publication Date

11/2016

Volume

18

Pages

O427 - O431

Addresses

Department of Colorectal Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK. bobbloemendaal@gmail.com.

Keywords

Urinary Tract, Surgical Flaps, Humans, Rectal Neoplasms, Neoplasm Recurrence, Local, Colostomy, Ileostomy, Pelvic Exenteration, Reconstructive Surgical Procedures, Urinary Diversion, Adult, Aged, Middle Aged, Female, Male, Young Adult